CQC reports have been published for more than 6,700 GP practices so far – around 80% of the total in England. Among these, just the top 4% have been awarded a rating of ‘outstanding’ by inspectors.
The regional distribution is similar across the country, with 5% of practices in the North of England given the top grade. This is also true for the Midlands and East region (5%), closely followed by the South of England with 4%.
London trails behind, with 1% of practices rated outstanding.
Practices in the North Derbyshire CCG area have performed particularly highly, with more than one in four (27%) of its 33 practices rated to date found to be outstanding.
Nottingham West CCG also shines, with half – five out of 10 – of practices rated given the top grade.
The CQC recently announced that all practices registered from October 2014 have been inspected, although not all of the reports have been released yet.
See below to identify local outstanding practices
*Please note that practice locations are approximate
GPonline analysis of the practices shows that 47% hold PMS contracts and 49% hold GMS contracts, with 5% being APMS practices.
The average list size of the outstanding practices is around 9,300 - putting them slightly larger than the national average of 7,000, and over twice as large as the average 'inadequate' practice.
The vast majority of practices were rated outstanding following their first visit from inspectors, although four practices had their rating bumped up after showing inspectors additional evidence.
One of these, the Morrab Surgery in Cornwall, was upgraded four months after its initial ‘good' rating. It submitted extra evidence to the CQC showing that it had rectified concerns raised in its initial report.
Another, the Litcham Health Centre in Norfolk, is the only practice to improve up to outstanding from an initial 'requires improvement' rating.
The vast majority of these outstanding practices should not be visited by inspectors again for another five years after the CQC adopts its new regime in October 2017.
GP practices have performed well overall, with 88% holding a ‘good’ or ‘outstanding’ rating. And GPonline analysis has shown that many practices given lower ratings come back and secure higher grades by their second inspection six months later.
Professor Steve Field, chief inspector of general practice, said: ‘Over 1m patients in England currently receive care from practices which we have rated outstanding.
‘What’s enormously encouraging is that our inspections are driving improvement – 90% of practices that we have re-inspected have improved since last October. Through their hard work and dedication, practices are making positive changes to the care they deliver.’